Chester A. Amedia, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

35046051A Issued in OH

Practice address

4822 Market St
Ste 100
Boardman, OH 44512-2148

Phone

(330) 781-6212

Fax

(330) 953-2041

NPI assigned

Jun 16, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• North Central Pennsylvania Dialysis Clinics-Lewisburg LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Lewisburg, PA
  • NPI 1083937494
  NPD Authorized official
• Kidney Center Home Therapies LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Williamsport, PA
  • NPI 1164920567
  NPD (past) Authorized official
• Ncpdc Kidney Center LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Wellsboro, PA
  • NPI 1528424975
  NPD (past) Authorized official
• North Central Pennsylvania Dialysis Clinics LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Montoursville, PA
  • NPI 1114922416
  NPD (past) Authorized official
• Independent Dialysis Group Northeast Ohio LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Calcutta, OH
  • NPI 1518570886
  NPD
• Dialysis Access Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Boardman, OH
  • NPI 1801457478
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408406400000",
    "number": "1952306995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4822 MARKET ST",
            "address_2": "SUITE 100",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445122148",
            "telephone_number": "330-781-6212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4822 MARKET ST",
            "address_2": "STE 100",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445122148",
            "telephone_number": "330-781-6212",
            "fax_number": "330-953-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMEDIA",
        "first_name": "CHESTER",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2014-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "35046051A",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD033274E",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allcare Dental & Dentures of Ohio - Bates
• Allied Pain Treatment Center
• Ashley Christine Allison, CDCA
• Chase Altier, DPT, PT
• Richard Anthony Amato, M.D.
• America'S Best Contact & Eyeglasses
• Crystal Lee Anderson
• Taneasha M Anderson
• Andrew S Matta DMD Boardman LLC
• Andrew W Mattson DDS LLC

• All providers in Boardman, OH
• Nephrology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.